Job Summary
A company is looking for a Medical Director Oncology UM to provide utilization review determinations and support clinical teams in achieving optimal outcomes.
Key Responsibilities
- Perform utilization review determinations for oncology populations and support case management teams
- Serve as a subject matter expert in evidence-based oncology guidelines and ensure policies are informed by the best available evidence
- Engage with treating providers to discuss guidelines and care plan changes that impact healthcare expenses
Required Qualifications
- MD or DO with an active, unrestricted medical license
- Current Board Certification in an ABMS or AOBMS specialty in Oncology
- 5+ years of clinical practice experience, including Medical Oncology
- Experience working with NCCN guidelines
- Demonstrated accomplishments in medical care delivery systems and utilization management
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